兰州市城镇职工高血压住院费用及其影响因素研究  

Analysis of Hospitalization Costof Hypertensive Patients Insured by the Medical Insurance for Urban Workers and Its Influencing Factors in Lanzhou City

作　　者：吴艳倩[1] 韩雪梅[1] 聂丹[1] 季韶荣 梁佩佩[1] 马莉[1] 

机构地区：[1]兰州大学公共卫生学院,甘肃兰州730000

出　　处：《中国社会医学杂志》2017年第2期146-149,共4页Chinese Journal of Social Medicine

基　　金：中央高校基本科研业务专项资金(lzujbky-2015-180)

摘　　要：目的分析甘肃省兰州市城镇职工医疗保险高血压患者的住院费用,调查高血压住院费用的影响因素。方法选择2011—2013年兰州市23 444名城镇职工高血压住院病例为研究对象,运用描述性统计和多元逐步回归分析方法对高血压患者住院费用的影响因素进行分析。结果兰州市城镇职工高血压患者的次均住院总费用6 486.54元,平均住院天数为12.38天。多因素分析结果表明,住院天数长、医院等级高、年龄大,高血压患者住院费用越高(P<0.05)。结论加强监督、规范高血压药品的使用等措施有助于控制高血压患者住院费用增长。Objectives To analyze the hospitalization cost of hypertensive patients insured by the Medical Insurance for Urban Workers（MIUW） ,and to investigate relating influencing factors. Methods A total of 23 444 patients insured by the MIUW and hospitalize for hypertension in Lanzhou from 2011 to 2013 were selected. Descriptive statistical analysis and multivariate step-wise regression analysis were applied for exploring influencing factors. Results The average hospitalization cost per inpatient was 6 486.54 yuan and the average length of stay was 12.38 days. The results of multivariate analysis showed that higher costs were related with longer length of stay, higher level of the hospital,and older age（P〈0.05）. Conclusions Measures like strengthening the supervision and regulating the use of hypertensive drugs will be helpful in controlling the rising trends of hospitalization costs of hypertensive patients.

关 键 词：住院费用 影响因素 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]